MICHAEL MARTIN BENNETT

KAILUA KONA, HI
NPI1467788364
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT  667)
Enumeration Date2009-10-27
Last Update Date2009-10-27
Business Address
Mr. MICHAEL MARTIN BENNETT LAC
75-377 HUALALAI RD
KAILUA KONA, HI 96740-9724
Phone number: 808-329-0774
Mailing Address
Mr. MICHAEL MARTIN BENNETT LAC
75-377 HUALALAI RD
KAILUA KONA, HI 96740-9724
Phone number: 808-329-0774
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